# DR. RAUL JAVIER VARGAS RIVERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962098749
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ACN1361 | FL | Yes |
| 208D00000X | General Practice Physician | MED-PHYS-REG-0002152 | MT | — |
| 208D00000X | General Practice Physician | TPME1150 | FL | — |
| 363AM0700X | Medical Physician Assistant | TPPA107 | FL | — |

## Other

- **Enumeration date:** 12/16/2020
- **Last updated:** 09/13/2023